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WELLMED MEDICAL MANAGEMENT OF FLORIDA, INC.

Company Details

Entity Name: WELLMED MEDICAL MANAGEMENT OF FLORIDA, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 30 Sep 1996 (28 years ago)
Document Number: P96000080763
FEI/EIN Number 74-2797745
Address: 19500 IH 10 W, San Antonio, TX, 78257, US
Mail Address: 19500 IH 10 W, San Antonio, TX, 78257, US
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1053695312 2011-10-05 2011-10-05 8637 FREDERICKSBURG RD, SUITE 360, SAN ANTONIO, TX, 782401219, US 591 OAK COMMONS BLVD, KISSIMMEE, FL, 347414202, US

Contacts

Phone +1 210-877-7570
Fax 2106412235

Authorized person

Name DR. GEORGE M. RAPIER III
Role PRESIDENT
Phone 2106174706

Taxonomy

Taxonomy Code 207Q00000X - Family Medicine Physician
License Number PENDING
State FL
Is Primary Yes
Taxonomy Code 207R00000X - Internal Medicine Physician
License Number PENDING
State FL
Is Primary No

Agent

Name Role Address
CT CORPORATION SYSTEM Agent 1200 SOUTH PINE ISLAND ROAD, PLANTATION, FL, 33324

Director

Name Role Address
Grundhoefer Bryan David Director 19500 IH 10 W, San Antonio, TX, 78257
Zimmerman Joseph Anthony Director 19500 IH 10 W, San Antonio, TX, 78257

Assi

Name Role Address
Lang Heather Anasta Assi 19500 IH 10 W, San Antonio, TX, 78257

President

Name Role Address
Rapier, III, M.D George McCarro President 19500 IH 10 W, San Antonio, TX, 78257

Treasurer

Name Role Address
Gill Peter Marshall Treasurer 19500 IH 10 W, San Antonio, TX, 78257

Asst

Name Role Address
Zuniga Carol Asst 19500 IH 10 W, San Antonio, TX, 78257

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G24000111156 WELLMED AT OAK COMMONS ACTIVE 2024-09-06 2029-12-31 No data 306 E. OAK ST, KISSIMMEE, FL, 34744
G24000108512 WELLMED AT COLLIER ACTIVE 2024-09-03 2029-12-31 No data 15455 COLLIER BLVD,SUITE 201, NAPLES, FL, 34119
G24000092065 WELLMED AT TYRONE GARDENS ACTIVE 2024-08-02 2029-12-31 No data 960 58TH ST N, ST PETERSBURG, FL, 33710
G24000076231 WELLMED AT LAND O'LAKES ACTIVE 2024-06-21 2029-12-31 No data 20615 AMBERFIELD DRIVE SUITE 102, LAND O'LAKES, FL, 34638
G23000138525 WELLMED AT FT PIERCE ACTIVE 2023-11-13 2028-12-31 No data 2940 S US HWY 1, FORT PIERCE, FL, 34982
G23000067788 WELLMED SUPPORTIVE CARE ACTIVE 2023-06-02 2028-12-31 No data 585 NW LAKE WHITNEY PL, PORT ST LUCIE, FL, 34986
G23000029031 WELLMED AT PALM COAST ACTIVE 2023-03-02 2028-12-31 No data 381 PALM COAST PKWY SW, PALM COAST, FL, 32137
G23000028391 WELLMED AT ST. AUGUSTINE ACTIVE 2023-03-02 2028-12-31 No data 16 ST JOHN MEDICAL PARK DRIVE, SAINT AUGUSTINE, FL, 32086
G22000130056 WELLMED AT HUNTER'S CREEK ACTIVE 2022-10-18 2027-12-31 No data 1100 CYPRESS GLEN CIRCLE, KISSIMMEE, FL, 34741
G22000115456 WELLMED AT ST CLOUD ACTIVE 2022-09-14 2027-12-31 No data 4513 OLD CANOE CREEK RD, ST CLOUD, FL, 34769

Events

Event Type Filed Date Value Description
AMENDMENT 2024-03-14 No data No data
AMENDMENT 2024-03-12 No data No data
REINSTATEMENT 2006-05-23 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2004-10-01 No data No data
REINSTATEMENT 2003-06-11 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2002-10-04 No data No data
NAME CHANGE AMENDMENT 1999-01-21 WELLMED MEDICAL MANAGEMENT OF FLORIDA, INC. No data

Date of last update: 01 Jan 2025

Sources: Florida Department of State